宫颈癌可疑复发转移诊断中血清鳞状上皮细胞癌抗原、PET-CT单用或联用价值分析

发布时间：2018-03-06 17:02

本文选题：宫颈癌　切入点：复发转移　出处：《中国现代医学杂志》2015年06期 　论文类型：期刊论文

【摘要】：目的探讨宫颈癌可疑复发转移诊断中血清鳞状上皮细胞癌抗原、PET-CT单用或联用价值差异。方法选取宫颈癌术后可疑复发患者90例,依次行PET-CT、血清鳞状上皮细胞癌抗原检查;比较两种检查方式诊断宫颈癌复发或转移灶与病理结果符合情况。结果有淋巴结转移的宫颈癌患者术后复发转移风险明显高于术前无淋巴结转移宫颈癌患者,差异有统计学意义(P0.05);血清鳞状上皮细胞癌抗原升高宫颈癌患者术后复发转移风险明显高于血清鳞状上皮细胞癌抗原正常宫颈癌患者,差异有统计学意义(P0.05);PET-CT诊断宫颈癌术后复发转移风险特异度显著高于血清鳞状上皮细胞癌抗原检测,差异有统计学意义(P0.05)。结论对于术前淋巴结转移和血清鳞状上皮细胞癌抗原升高宫颈鳞癌患者术后应行PET-CT检查,以提高可疑复发转移检出准确度。
[Abstract]:Objective to investigate the value of PET-CT in the diagnosis of suspected recurrence and metastasis of cervical cancer. Results the risk of recurrence and metastasis in patients with lymph node metastasis was significantly higher than that in patients without lymph node metastasis before operation. The risk of recurrence and metastasis in patients with cervical cancer after operation was significantly higher than that in patients with normal serum squamous cell carcinoma antigen. The specificity of PET-CT in the diagnosis of postoperative recurrence and metastasis of cervical cancer was significantly higher than that of serum squamous cell carcinoma antigen. Conclusion PET-CT examination should be performed before operation and serum squamous cell carcinoma antigen elevation in patients with cervical squamous cell carcinoma in order to improve the accuracy of detection of suspected recurrence and metastasis.
【作者单位】：四川泸州医学院附属医院核医学科;
【分类号】：R737.33

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